SMOKY MOUNTAIN NATURAL WELLNESS (NPI# 1124665278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124665278 |
| Entity Type | Organization |
| Organization Name | SMOKY MOUNTAIN NATURAL WELLNESS |
| Practice Address |
2211 E Broadway Ave Maryville TN 37804-3078 |
| Mailing Address |
2314 Tipton Loop Rd Maryville TN 37803-1855 |
| Practice Telephone | 8652962955 |
| Mailing Telephone | 8652962955 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | JORDAN BLAKE BORING (OWNER) |
| Authorized Official Telephone | 8652962955 |
| Authorized Official Credential | L. AC. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Street Address |
2211 E BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952951 | Deborah G Thomas | Family Medicine | 2211 E Broadway Ave, Maryville, TN 37804-3078 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477119055 | Jordan Blake Boring | Acupuncturist | 2314 Tipton Loop Rd, Maryville, TN 37803-1855 | 2019-05-19 |
| 1669034955 | Tennessee Center for Reproductive Acupuncture | Acupuncturist | 423 Washington St., Maryville, TN 37804 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717780 | Sea Gate Wellness LLC | Acupuncturist | 2020 Indian Ridge Rd Apt 206, Johnson City, TN 37604-4299 | 2020-10-14 |
| 1215549175 | Penelope Fattebert | Acupuncturist | 103 W Tennessee Ave, Oak Ridge, TN 37830-6502 | 2020-08-20 |
| 1043840010 | Natasha Renee Fiser | Acupuncturist | 1022 16th Ave S, Nashville, TN 37212-2303 | 2020-01-18 |
| 1043859796 | Marikate Workman | Acupuncturist | 106 Mission Ct Ste 603a, Franklin, TN 37067-6440 | 2019-12-29 |
| 1689213498 | Tri-cities Acupuncture and Wellness LLC. | Acupuncturist | 4006 Fort Henry Dr # 2, Kingsport, TN 37663-2028 | 2019-12-26 |
| 1609417427 | Jessica Lynne Dwyer | Acupuncturist | 1405 Cowart St Ste 115, Chattanooga, TN 37408-1177 | 2019-10-02 |
| 1841840584 | Jodie Danielle Manross | Acupuncturist | 6311 Kingston Pike Ste 1e, Knoxville, TN 37919-4906 | 2019-09-15 |
| 1811553852 | Poplar Creek Spa, LLC | Acupuncturist | 5906 Main St Ste 140, Ooltewah, TN 37363-9297 | 2019-05-15 |
| 1639732746 | Rebekah Lynn Knause | Acupuncturist | 6712 Kingston Pike, Knoxville, TN 37919-4831 | 2019-04-16 |
| 1053870550 | Xiaomei Zhao | Acupuncturist | 229 Ward Cir Ste A12, Brentwood, TN 37027-7518 | 2019-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.